CENTRACARE, LLC
NPI 1023343670
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lynchburg, VA

NPI Status: Active since October 14, 2009

Contact Information

944 RANDOLPH LN
LYNCHBURG, VA
ZIP 24502
Phone: (434) 258-7058
Fax: (434) 384-5105

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 49D2119180
  • CLIA Cert. Type: Other - CARDIO REHAB OUTPATIET
  • CLIA Exp. Date: 09-20-2026

About CENTRACARE, LLC

This page provides the complete NPI Profile along with additional information for Centracare, Llc, a provider established in Lynchburg, Virginia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1023343670 assigned on October 2009. The practitioner's primary taxonomy code is 320900000X with license number 1248-01-001 (VA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Jason C Hinds (Owner)

NPI
1023343670
Provider Name
CENTRACARE, LLC
Entity Type
Organization
Location Address
944 RANDOLPH LN LYNCHBURG, VA 24502
Location Phone
(434) 258-7058
Location Fax
(434) 384-5105
Mailing Address
944 RANDOLPH LN LYNCHBURG, VA 24502
Mailing Phone
(434) 258-7058
Mailing Fax
(434) 384-5105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2009
Last Update Date
10-14-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
1248-01-001
License State
VA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON C HINDS

Authorized Official Title
OWNER
Authorized Official Phone
(434) 258-7058

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2119180
Facility Type
Other - CARDIO REHAB OUTPATIET
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
SUSAN FALCONER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centracare, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023343670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043646614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 6 + 4 + 6 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023343670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023343670, enumerated as an "organization" on October 14, 2009.

The provider is located at 944 RANDOLPH LN LYNCHBURG, VA 24502 and the phone number is (434) 258-7058.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.